Genital Itching and Color Changes: Causes and Treatments

Q: Genital Itching and Color Changes: Causes and Treatments

Hello： 1. I have athlete's foot, and since I wash my clothes and socks together while abroad, is it possible that I got a fungal infection on my feet because of that? --> The chances are very low. 2. I have undergone two HIV tests (the second test was conducte

Genital itching and discoloration of the glans?

Hello Doctor, on July 15, I had unprotected sexual intercourse where I received oral sex without a condom, but I did use a condom for vaginal intercourse.
On July 16, I experienced itching and a stinging sensation around the glans.
I consulted a doctor who prescribed Mupirocin Ointment, but it made the itching worse.
I underwent STD testing abroad, including tests for syphilis, herpes, gonorrhea, and HIV.
While waiting for the results, due to unbearable itching, the doctor administered Rocephin and prescribed Azithromycin.
The test results came back negative.

On August 2, upon returning to Taiwan, I noticed that the front half of the glans appeared less vascular and somewhat dry and wrinkled, with some small bumps.
I visited a doctor who examined me and found no visible abnormalities.
I also underwent a 7-in-1 + HIV screening, which returned negative results.
However, due to the persistent itching, the doctor prescribed Dalacin cream, advising me to stop using it once symptoms improved.
After three days of use, I experienced some relief and stopped the medication, but five days later, the itching returned.
On August 16, due to ongoing itching, I consulted a doctor again and mentioned the discoloration of the glans.
The doctor prescribed 1% Clotrimazole cream for the glans and CB ointment for the area around the base of the penis.
Additionally, I received a three-day supply of Loratadine and Fexofenadine.
After applying the CB ointment, I felt much more comfortable, but the condition on the upper part of the glans seemed unchanged.

Around August 18, I began experiencing itching in various parts of my body (starting August 14), with small red spots on my arms.
I consulted a doctor who suggested it might be a hemangioma (I can't recall exactly), but due to the itching, I underwent allergy testing, which returned normal results.
I have been applying the ointments since August 16, but the glans still has areas that lack color and small spots (not red, matching the skin tone), along with dryness and wrinkling.
The area around the base of the penis starts to itch if I don't apply the ointment.
Recently, I have experienced some frequency in urination and mild stinging in the prostate area, along with discomfort at the junction between the genitals and anus, and occasional itching of the scrotum.
1.
I have athlete's foot, and while abroad, I washed my clothes and socks together.
Is it possible that I contracted a fungal infection from my feet?
2.
I have undergone two HIV tests (the second test was conducted after informing the doctor of the exposure date, and they indicated that the timing for testing was appropriate).
However, could there be a window period issue? Are these symptoms possibly related to that, or could they be indicative of another condition?
3.
Are there any potential side effects or impacts from continuously applying CB ointment and Clotrimazole to the genitals? If the CB ointment accidentally comes into contact with the prostate or scrotum, is that acceptable? Could the mild stinging in the prostate be related to this? (I applied the CB ointment over the entire penis.)
4.
What further options do I have to address my current symptoms, or which specialists should I consult? I'm unsure how to proceed.
Note: The foreskin has already been removed.

yuu, 30~39 year old female. Ask Date: 2023/08/25

Dr. Du Shixi reply Urology

Hello:
1.
I have athlete's foot, and since I wash my clothes and socks together while abroad, is it possible that I got a fungal infection on my feet because of that? --> The chances are very low.

2.
I have undergone two HIV tests (the second test was conducted after I informed the doctor of the exposure date, and the doctor mentioned that the timing for the test was appropriate), but is there a possibility of a window period issue? Could these symptoms be related to this, or might they be due to other conditions? --> The doctor has explained this; if you are still concerned, you can retest after some time.

3.
Is there any risk of side effects or impacts from continuously applying CB ointment and Yinke Zhi on the genital area? --> Normal use should not cause issues.
If CB ointment accidentally gets on the prostate or scrotum, is that acceptable? Could the slight pain in the prostate be due to this? (Since I apply CB ointment almost all over the penis) --> It should not reach the prostate; it is fine to apply on the scrotum.

4.
What other methods can I use to address my current symptoms, or which specialist should I consult? I'm a bit unsure how to proceed.
--> Focus on rest, hydration, and avoid tight underwear.
Wishing you good health.

Reply Date: 2023/08/25

More Info

Genital itching and color changes can be concerning symptoms that may arise from various underlying causes. Based on the information provided, it appears that you have experienced a series of symptoms following a potential exposure to sexually transmitted infections (STIs) and have undergone multiple tests and treatments. Here’s a comprehensive overview of potential causes, treatments, and recommendations for your situation.

Potential Causes of Symptoms
1. Infections: The symptoms you describe, including itching, color changes, and discomfort, could be attributed to several types of infections:
- Fungal Infections: Given your history of athlete's foot, it is possible that a fungal infection could have spread to the genital area, especially if clothing and socks were washed together. Fungal infections can cause itching, redness, and changes in skin texture.

- Bacterial Infections: The use of Mupirocin ointment suggests a bacterial concern, but if the ointment exacerbated the itching, it may not have been the appropriate treatment.
- Sexually Transmitted Infections (STIs): Although your STI tests returned negative, it is important to note that some infections can take time to manifest or may not be detected immediately after exposure.
2. Dermatological Conditions: Conditions such as eczema, psoriasis, or contact dermatitis could also lead to itching and changes in skin color. These conditions can be exacerbated by irritants or allergens, including personal care products or fabrics.

3. Allergic Reactions: The development of red spots and itching on other parts of your body may indicate an allergic reaction. This could be related to medications, topical treatments, or even environmental factors.

4. Psychological Factors: Stress and anxiety can also manifest as physical symptoms, including itching and discomfort in sensitive areas.

Treatment Options
1. Topical Treatments:
- Hydrocortisone Cream: For inflammation and itching, a mild topical steroid may help reduce symptoms. However, prolonged use should be monitored to avoid skin thinning.

- Antifungal Creams: If a fungal infection is suspected, topical antifungal treatments may be beneficial.

- Moisturizers: Regular use of fragrance-free moisturizers can help soothe dry skin and reduce irritation.

2. Oral Medications:
- Antihistamines: If itching is due to an allergic reaction, antihistamines can provide relief.

- Antibiotics: If a bacterial infection is confirmed, appropriate antibiotics should be prescribed.

3. Avoid Irritants: Identify and avoid any potential irritants, including certain soaps, detergents, or fabrics that may exacerbate your symptoms.

4. Follow-Up Testing: If symptoms persist despite treatment, further evaluation by a dermatologist or urologist may be warranted. They can conduct a thorough examination and possibly perform skin scrapings or cultures to identify any underlying infections.

Addressing Your Specific Questions
1. Fungal Infection from Athlete’s Foot: Yes, it is possible for a fungal infection to spread from the feet to the genital area, especially if hygiene practices are not optimal.
2. HIV Window Period: While you have tested negative for HIV, it is important to consider the window period, which can vary depending on the type of test used. If you have concerns, consult with a healthcare provider for retesting or further evaluation.

3. Topical Treatments and Side Effects: Prolonged use of topical medications like CB ointment and inflammation treatments should be monitored. If you experience increased irritation or side effects, discontinue use and consult your doctor. It is generally safe for these medications to come into contact with the scrotum, but avoid direct application to the prostate area.

4. Next Steps: If symptoms continue, consider seeing a dermatologist for a comprehensive evaluation. They can provide targeted treatments based on the specific diagnosis and help manage any persistent symptoms.

In conclusion, genital itching and color changes can stem from various causes, and it is crucial to work closely with healthcare professionals to identify the underlying issue and receive appropriate treatment. Maintaining good hygiene, avoiding irritants, and following up with specialists will be key in managing your symptoms effectively.

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